Individual provider Active NPI

Sreedevi Marakatham, M.D

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1760727671
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P7665 Issued in TX
Practice address
7150 Greenville Ave
Ste 310
Dallas, TX 75231-7900
Phone
(214) 363-3200
Fax
(214) 360-9997
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P7665 TX Primary

Addresses

Primary practice location

7150 Greenville Ave
Ste 310
Dallas, TX 75231-7900

Mailing address

4705 Tribeca LN
Apt 2100
Plano, TX 75024-1209
Phone (469) 835-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1760727671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 TRIBECA LN",
            "address_2": "APT 2100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750241209",
            "telephone_number": "469-835-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 GREENVILLE AVE",
            "address_2": "STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317900",
            "telephone_number": "214-363-3200",
            "fax_number": "214-360-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAKATHAM",
        "first_name": "SREEDEVI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P7665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.